Motivated and results-oriented professional with several years of progressive workplace experience in HR management, organizational/business management, and staff supervision.
Master of Information Systems Management graduate (2013) with a concentration in Health Information Systems Management, exposed to relevant industry training and best practices.
Firm knowledge of key functions in Health Information Technology including Health Service Systems, Health Service Finances, Healthcare Security, Privacy and HIPAA Compliance.
Leadership experience includes staff management and leadership development for teams of 10+ staff; possess highly refined and effective interpersonal communication skills.
Core Qualifications
MS Office (Word, Excel, Outlook, PowerPoint), Data Entry, Internet Research, SQL, Data Analysis
Technical Skills
Professional Experience
BUSINESS ANALYST, 01/2014 - Current Sage Intacct – Lawrenceville, GA,
Serve as the liaison between the Development and Solution Management teams.
Responsible for gathering and analyzing requirements for enhancements and bug fixes for a healthcare coding, billing, and CDI solution.
Actively participates on multiple cross-functional scrum teams.
Captures technical and functional requirements during each sprint using Agile practices.
Serves as source of knowledge and subject matter expert on healthcare billing, coding and revenue cycle.
Collaborates with Solution Manager, business stakeholders, and scrum team members to understand the solution vision and roadmap.
Defines detailed user stories with relevant acceptance criteria in collaboration with the Solution Manager and scrum team.
Works closely with the Solution Manager to create and manage the solution backlog.
CLIENT SUPPORT ANALYST, 08/2012 - 01/2014 I3 Verticals, Inc. – Murfreesboro, TN,
Serve as primary contact for hospital and professional clients including Physician offices and Healthcare facilities.
Analyze and resolve client issues for a web-based Business Analytics and workflow application and a web and server based Coding and Documentation Improvement application.
Apply knowledge of networking, database administration, software development, and programming to resolve client issues.
Utilize SQL Server to query data for ticket resolution.
Perform UAT for product releases.
Coordinate and provide web and phone based support and/or client training for new product releases, upgrades, and related inquiries.
Research and document software defects using Team Foundation Server to ensure achievement of objectives.
Analyze and evaluate client business needs and requirements for best use of our products.
Gather requirements, develop Statements of Work, and validate deliverables for client product enhancement requests.
Work closely with Solutions Management and Development to provide input on software defects and help to prioritize defects.
Jessica (555) 432-1000 * resumesample@example.com Page 2 Continued from page one.
Directed AP/AR activity including claims submission, payment posting, insurance verification, and claims review.
Developed and implemented policies and procedures for all activity within the Accounts Receivable department; directly managed and motivated a staff of nine employees.
Directed processing of all new or updated credentials for Medicare, Medicaid, and third party payers.
Staff management responsibilities included recruiting, interviewing, hiring, training and development, performance evaluation, discipline, and/or termination of staff as needed.
Utilized Great Plains (accounting software) for all revenue recognition; assisted in the implementation of a new web-based billing system for clinical staff.
ACCOUNTS RECEIVABLE MANAGER, 10/2002 - 09/2007 Cyracom International – Las Cruces, NM,
Managed front and back office operations on a daily basis to support a team of four Physicians; implemented policies and established performance standards for a team of 12 employees.
Ensured efficient processing of medical claims; operated in accordance with insurance company guidelines.
Developed and implemented a comprehensive HIPAA compliance plan for staff member adherence.
Balanced all monthly and daily reports; utilized QuickBooks for all accounts payables transactions.
Additional leadership responsibilities including interviewing, new-hire training, employee development, performance evaluation and discipline/termination.
Spearheaded an initiative to implement a new EMR system for more secure documentation management.
BILLING SPECIALIST, 01/2001 - 04/2002 Adp – Long Beach, CA,
Supported a team of four Physicians and supported all invoicing activities for 300+ accounts monthly.
Administered electronic and hard copy billing on CMS 1500 forms; utilized Medical Manager software on a regular basis to process all reimbursement activities.
Earned managerial recognition for excellent performance and ensured achievement of business objectives in accordance with timeline and budgetary requirements.
Education
: , Expected in 1 2013 - MASTER OF INFORMATION SYSTEMS MANAGEMENT - , GPA:
BACHELOR OF ARTS: Health Information Systems Management, Expected in 1 2006 - DeVry University - Keller Graduate School of Management - Atlanta, GA GPA: Health Information Systems Management
Certified Procedural Coder (Claire) - American Academy of Procedural Coders (AAPC): Human Resources, Expected in - Saint Leo University - Atlanta, GA GPA: Human Resources
Skills
accounts payables, Accounts Receivable, Agile, AP, AR, billing, billing system, CMS, client, clients, Data Analysis, Data Entry, database administration, Documentation, forms, functional, Great Plains (accounting, hiring, insurance, invoicing, leadership, managerial, Medical Manager, Excel, MS Office, office, Outlook, PowerPoint, Word, Works, networking, Internet Research, page, policies, Coding, programming, QuickBooks, recruiting, Research, software development, SQL Server, SQL, Staff management, stories, phone, employee development, upgrades, vision, workflow
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School Attended
MASTER OF INFORMATION SYSTEMS MANAGEMENT
DeVry University - Keller Graduate School of Management
Saint Leo University
Job Titles Held:
BUSINESS ANALYST
CLIENT SUPPORT ANALYST
ACCOUNTS RECEIVABLE MANAGER
ACCOUNTS RECEIVABLE MANAGER
BILLING SPECIALIST
Degrees
BACHELOR OF ARTS
Certified Procedural Coder (Claire) - American Academy of Procedural Coders (AAPC)
